Abstract:
OBJECTIVES:This study aims to describe the association between use of municipality healthcare services before an emergency department (ED) contact and mortality, hospital reattendance and institutionalisation. DESIGN:Population-based prospective cohort study. SETTING:ED of a large university hospital. PARTICIPANTS:All medical patients ≥65 years of age from a single municipality with a first attendance to the ED during a 1-year period (November 2013 to November 2014). PRIMARY AND SECONDARY OUTCOME MEASURES:Patients were categorised as independent of home care, dependent of home care or in residential care depending on municipality healthcare before ED contact. Patients were followed 360 days after discharge. Outcomes were postdischarge mortality, hospital reattendance and institutionalisation. RESULTS:A total of 3775 patients were included (55% women), aged (median (IQR) 78 years (71-85)). At baseline, 48.9% were independent, 34.9% received home care and 16.2% were in residential care. Receiving home care or being in residential care was a strong predictor of mortality, hospital reattendance and institutionalisation. Among patients who were independent, 64.3% continued being independent up to 360 days after discharge. Even among patients ≥85 years, 35.4% lived independently in their own house 1 year after ED contact. CONCLUSION:Prehospital information on municipality healthcare is closely related to patient outcome in older ED patients. It might have the potential to be used in risk stratification and planning of needs of older acute medical patients attending the ED.
journal_name
BMJ Openjournal_title
BMJ openauthors
Tanderup A,Ryg J,Rosholm JU,Lassen ATdoi
10.1136/bmjopen-2018-026881subject
Has Abstractpub_date
2019-04-24 00:00:00pages
e026881issue
4issn
2044-6055pii
bmjopen-2018-026881journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Complex population health interventions that are effective in one context may not be effective elsewhere, and may even be harmful. As such, an intervention may require adaptation to ensure it fits with a new context. To date, there is no overarching guidance to help researchers to adapt and evaluate interv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038965
更新日期:2020-07-20 00:00:00
abstract:OBJECTIVE:The objective of the study was to explore the experiences of those who have experienced miscarriage, focusing on men's and women's accounts of miscarriage. DESIGN:This was a qualitative study using a phenomenological framework. Following in-depth semistructured interviews, analysis was undertaken in order to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011382
更新日期:2017-03-27 00:00:00
abstract:OBJECTIVES:The study examined medical care utilisation by health insurance status changes. SETTING:The Korean Welfare Panel Study (KoWePs) was used. PARTICIPANTS:This study analysed 14,267 participants at baseline (2006). INTERVENTIONS:The individuals were categorised into four health insurance status groups: contin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009538
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:Understanding patients' preferences for treatment is crucial to provision of good care and shared decisions, especially when more than one treatment option exists for a given condition. One such condition is infection of the area around the prosthesis after hip replacement, which affects between 0.4% and 3% ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031645
更新日期:2020-01-21 00:00:00
abstract:OBJECTIVES:We investigated whether self-reported disability was associated with mortality in adults in rural Malawi. SETTING:Karonga Health and Demographic Surveillance Site (HDSS), Northern Malawi. PARTICIPANTS:All adults aged 18 and over residing in the HDSS were eligible to participate. During annual censuses in 2...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034802
更新日期:2020-08-27 00:00:00
abstract:OBJECTIVES:Access to reproductive information and contraception (RIC) continues to be a critical unmet need in Tanzania and impedes the realisation of reproductive health rights. This study examined key sources of RIC and the factors influencing their uptake by women in Mbeya region of Tanzania. SETTING:This qualitati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036600
更新日期:2020-10-10 00:00:00
abstract:INTRODUCTION:The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on universal prevention programmes delivered in school settings. This protoc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029044
更新日期:2019-09-03 00:00:00
abstract:OBJECTIVE:We report on: (1) the proportion of patients with known atrial fibrillation (AF); and (2) demographic, clinical or radiological differences between patients with known AF (and not treated) and patients with newly diagnosed AF, in a cohort of patients who presented with ischaemic stroke or transient ischaemic ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-028387
更新日期:2019-07-24 00:00:00
abstract:BACKGROUND:Mentoring is frequently suggested as an intervention to address gender inequalities in the workplace. OBJECTIVES:To systematically review evidence published since a definitive review in 2006 on the effectiveness of mentoring interventions aimed at achieving gender equality in academic medicine. DESIGN:Syst...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040355
更新日期:2021-01-26 00:00:00
abstract:OBJECTIVES:The aim of this study was to identify meteorological factors that could be associated with an increased risk of community-acquired Legionnaires' disease (LD) in two Swiss regions. DESIGN:Retrospective epidemiological study using discriminant analysis and multivariable Poisson regression. SETTING:We analyse...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002428
更新日期:2013-03-05 00:00:00
abstract:OBJECTIVES:Accreditation in France relies on a mandatory 4-year cycle of self-assessment and a peer review of 82 standards, among which 14 focus priority standards (FPS). Hospitals are also required to measure yearly quality indicators (QIs-5 in 2010). On advice given by the accreditation committee of HAS (Haute Autori...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003289
更新日期:2013-08-30 00:00:00
abstract:OBJECTIVES:The aim of this review was to identify the cultural, social, structural and behavioural factors that influence asymptomatic breast and cervical cancer screening attendance in South Asian populations, in order to improve uptake and propose priorities for further research. DESIGN:A systematic review of the li...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020892
更新日期:2018-07-07 00:00:00
abstract:OBJECTIVE:In October 2013, the South Korean government introduced an incentive programme to increase the availability of Saturday treatment at clinics, hoping to increase the role of primary care providers as gatekeepers to medical care. To the best of our knowledge, no one has yet investigated this programme's effect ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011248
更新日期:2016-06-09 00:00:00
abstract:OBJECTIVES:This study seeks to determine not only the reliability of parental touch in detecting fever as compared to rectal thermometry in under-five children, but also the sociodemographic factors that may predict its reliability. SETTING:The study was carried out in the Emergency Paediatric Unit of a tertiary hospi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005776
更新日期:2014-10-10 00:00:00
abstract:OBJECTIVES:To examine the characteristics and persistence in patients newly initiated with oral anticoagulants (OACs) for stroke prevention in non-valvular atrial fibrillation (NVAF). DESIGN:Cohort study in Clinical Practice Research Datalink. SETTING:UK primary care. PARTICIPANTS:15 242 patients with NVAF newly pre...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011471
更新日期:2016-09-26 00:00:00
abstract:INTRODUCTION:There is an increasing need for the adoption of effective preschool obesity prevention interventions to combat the high levels of early-childhood obesity in the UK. This study will examine the feasibility and acceptability of the adapted version of the ToyBox intervention-a preschool obesity prevention pro...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023707
更新日期:2018-10-27 00:00:00
abstract:OBJECTIVES:We examined the patterns of total and domain-specific physical activity (PA) by sex, socioeconomic status and maternal education level in adolescents from Sao Paulo city, Brazil. DESIGN:Cross-sectional study. PARTICIPANTS:We included a representative sample of 2682 (52.2% boys) adolescents aged 14-15 years...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037290
更新日期:2020-09-02 00:00:00
abstract:INTRODUCTION:The health workforce is an integral component of the healthcare system. Comprehensive, high-quality data on the health workforce are essential to identifying gaps in health service provision, as well as informing future health workforce and health services planning, and health policy. While many data sourc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034400
更新日期:2020-01-21 00:00:00
abstract:OBJECTIVES:The Maine Diversion Alert Program grants healthcare providers access to law enforcement data on drug charges. The objectives of this report were to analyse variations in drug charges by demographics and examine recent trends in arrests, prescriptions of controlled substances and overdoses. DESIGN:Observatio...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027117
更新日期:2019-04-29 00:00:00
abstract:INTRODUCTION:Studies have documented poorer health among migrants than natives of several European countries, but little is known for Switzerland. We assessed the association between country of birth, socioeconomic factors and self-reported health (SRH) in a prospective cohort of adults living in Lausanne, Switzerland....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035812
更新日期:2020-08-13 00:00:00
abstract:OBJECTIVES:Patients are often accompanied by family or companions during consultations, but little is known about how this might influence the process. We explored how the presence of a companion in a consultation contributes to communication and the decision-making process. DESIGN:Observational study. SETTING:A teac...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002144
更新日期:2013-01-16 00:00:00
abstract:OBJECTIVE:The objective of this study is to assess the determinants of BCG vaccination in Ethiopia from 2016 Ethiopia Demographic and Health Survey (EDHS). SETTING:Since Ethiopia has nine regional states and two administrative cities, sample was taken from all the divisions. The population-based sample was intended to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023634
更新日期:2019-02-21 00:00:00
abstract:OBJECTIVE:To compare the long-term economic impact of melanoma prevention by sun protection, with the corresponding impact of early detection of melanoma to decrease melanoma deaths. DESIGN:Cost-effectiveness analysis using Markov cohort model. Data were primarily from two population-based randomised controlled trials...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034388
更新日期:2020-02-26 00:00:00
abstract:INTRODUCTION:Idiopathic Parkinson's disease (PD) is a progressive neurodegenerative disorder related to α-synuclein misfolding and aggregation. For this reason, it belongs to the family of 'synucleinopathies', which also includes some other neurological diseases. Although imaging and ancillary investigations may be hel...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-018177
更新日期:2017-11-22 00:00:00
abstract:OBJECTIVES:To clarify the relationship between social deprivation and age as two factors associated with emergency admissions to hospital. DESIGN:Emergency admissions for 12 months were analysed for patients in the NHS NEW Devon CCG. Social deprivation was measured by the Index of Multiple Deprivation (IMD). Logistic ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014045
更新日期:2017-02-14 00:00:00
abstract:OBJECTIVES:To ascertain whether an ultrabrief intervention (UBI) improves mental health outcomes for patients in general practice with mild-to-moderate mental health concerns. TRIAL DESIGN:Two-arm cluster randomised controlled trial. METHODS:Participants: general practitioners (GPs) were invited based on working in a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023481
更新日期:2019-02-27 00:00:00
abstract:OBJECTIVES:This study aims to identify the sources of funding for investigator-initiated clinical trials (IICTs) in Portugal, and to recommend ways to improve the quality of information collected from clinical trial databases about funding. DESIGN AND METHODS:A systematic search of trial registrations over the last 13...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023394
更新日期:2019-05-14 00:00:00
abstract:OBJECTIVES:While studies at the undergraduate level have begun to explore healthcare students' safety and dignity dilemmas, none have explored such dilemmas with multiple stakeholders at the postgraduate level. The current study therefore explores the patient and staff safety and dignity narratives of multiple stakehol...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025615
更新日期:2019-05-27 00:00:00
abstract:OBJECTIVES:This study aimed to measure the burden of work-related upper limb amputation in Korea over a 10-year period and assess its trend. DESIGN:Ecological study. SETTING:National level data in Korea between 2004 and 2013. PARTICIPANTS:49 535 subjects who claimed Korea industrial accident compensation insurance d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032793
更新日期:2019-11-19 00:00:00
abstract:OBJECTIVE:To investigate variations in quality of acute stroke care and outcomes by day and time of admission in London hyperacute stroke units compared with the rest of England. DESIGN:Prospective cohort study using anonymised patient-level data from the Sentinel Stroke National Audit Programme. SETTING:Acute stroke...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-025366
更新日期:2019-11-07 00:00:00